Jad Alkhatib
Individual provider Active NPI Case Manager/Care Coordinator · Broken Arrow, OK
NPI 1669008561 · NPPES record last updated Mar 23, 2020
Key facts
- NPI
- 1669008561
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 3804 S Yellow Pine Ave
Broken Arrow, OK 74011-1270 - Phone
- (918) 633-8278
- NPI assigned
- Mar 23, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
3804 S Yellow Pine Ave
Broken Arrow, OK 74011-1270
Mailing address
3804 S Yellow Pine Ave
Broken Arrow, OK 74011-1270
Other providers in Broken Arrow, OK
- Leslie Alexander
- Patricia Anne Alexander
- Rachel Nicole Alexander
- Takira Raynola Alexander
- Wendy Sheree Alexander
- Abigail Keira Allan
- Allcare Medical Equipment and Supplies, Inc.
- Bridget B Allen
- Bryttne Allen
- Shelby N Allen
All providers in Broken Arrow, OK · Case Manager/Care Coordinator in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.